'Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by GERD

Gas and bloating. Are they at the heart of reflux and could reducing gas and bloating "cure" reflux?

Gas and bloating. Are they at the heart of reflux — and could reducing gas and bloating "cure" reflux? The creator of the fast tract diet thinks so. I just read one of his books. Here's a brief summary:

- He believes imbalanced gut flora is a key cause of reflux. Gas pressure builds up in the stomach and is forced through the LES. It's not that the LES is faulty or we have too much stomach acid.
- Reducing acid via PPIs etc. is not healthy. Our stomachs are supposed to be acidic and reducing acid can lead to stomach infections and other problems -- not mention many side effects and rebound if you go off.
- Poorly absorbed carbohydrates are at the root of the excess gas production. They include lactose, fructose, resistant starch, fiber, and sugar alcohols.
- Strictly limiting these carbs can improve reflux and IBS symptoms.
- Examples of foods that are high risk: dried beans/lentils, whole wheat products, sweets/cakes/pies, cornmeal, rice (except jasmine), sweet potatoes, bananas/plantain, figs, raisins, dried apricots, dates, dried prunes, chocolate milk, sweetened yogurt, carrot/apple/pineapple juice, chocolate bars.

I am easing into the fast tract diet and am convinced it's helping my IBS. Still waiting to see some progress in my reflux.


Suzanne Wieler Friesen
This would make sense why most of my Gerd symptoms are almost gone after I worked on my gut health.

Caryn Feldman-Irmiter
If you don't mind my asking, how did you do this?

Jean Johnson Skinner
I agree completely on not taking any PPI meds. I was on them for 6 years and still dealing with rebound effects. It's slowly improving and your logic behind them is correct. Can you please give us a list of things we should be eating to improve our stomach and get in the track of becoming healthy again? Thank you.

Suzy Silver Nastaskin
How did U get off ppis? How long did rebound last?

Abby Obenchain
It's a bit complicated but here is an abridged version of the book: http://digestivehealthinstitute.org/.../Fast-Tract-Diet.... I find sticking to meat and above-ground veggies as much as possible is critical. No sweets, no breads, although I have perfected a recipe for low carb bread (no flour at all).

Jean Johnson Skinner
Thank you for sharing this with us. I was on PPI meds for 6 years and it destroyed my good acid, like you said it does. I have been off them for 3 months and most of the time, it feels like my food gets stuck and then it finally goes down. Your link just might be my lifesaver. Please share the bread recipe when you get a chance. Thanks again, very nice of you.

Related Post: Sounds odd, but has anyone had any reflux relief from gas x type meds?

Abby Obenchain
Keep in mind that the damage in the upper esophageal tract is due to PEPSIN which is activated by acid. THis is why I am drinking alkaline water...to try to wash away the pepsin. A bunch of folks in the Fast Tract group say that this diet is really helping them. I feel I have to give it a chance. Intuitively it makes sense to me that gas creates pressure on the valve and getting rid of the gas will help.

Abby Obenchain No-flour cloud bread
6 egg whites
1/3 cup plain non-fat Greek yogurt or 1/3 cup (2.5 ounces) light cream cheese
6 egg yolks
1/4 teaspoon cream of tartar
1/8 teaspoon salt
Preheat oven to 300 degrees.
Spray an 11 by 15 bar pan with cooking spray and set aside.
In a large bowl, with very clean beaters, whip the egg whites with the cream of tartar for 2-4 minutes or until very stiff peaks form and they are almost turning dry. Set aside.
With the same beaters, in another large bowl beat the cold cream cheese on medium-low until smooth. Add the egg yolks and salt to the cream cheese and beat on medium for 2 minutes until light yellow.
Gently fold one third of the egg whites into the yolk mixture to lighten. Gently fold in the remaining whites until all fluffs disappear -- be careful not to deflate them.
Spread evenly across pan and bake for 30 minutes, depending on size. (For 6 large pieces 30 minutes is about right. Smaller sizes will require less time.) They should be a deep golden brown and crispy to the touch.
Immediately loosen with a pancake turner and allow to cool for a few minutes on the pan. Cut into bread-sized pieces and move to a wire rack to cool completely. Store in an airtight container with waxed paper between slices to prevent sticking.

Abby Obenchain
This bread gets more bread-like with time!! It's very souffle-y straight from the oven.

Jean Johnson Skinner
Thank you for the recipe. I'm going to try it tomorrow. I am excited about it.

Abby Obenchain
Take a week and try eating mostly meat and above-ground veggies and see what happens!

Abby Obenchain
I know I am not being strict enough...tomorrow I am going to go cold turkey! eggs, meat, aboveground veggies, cloud bread, almonds, jasmine rice.

Tessy Raft Vlas StamVret
I have read that bloating and gas does affect the acid and inhibit the digestion in our tummies .

Vrushali Khot
This is basically what my naturopath has told me. She's stuck me on a low amine diet, no gluten which incidentally cuts out all highly acidic foods and shares similar characteristics, no sweets, high carbs etc. Lots of good fat and healing supplements. What does the fast track say about dairy? I'm so nervous about trying it again, having been off for a couple of months now.

Joyce Gerhardt
what are the healing supplements she recommends?

Vrushali Khot
Magnesium, zinc, Vit C and a probiotic (because no fermented foods at this stage).

Abby Obenchain
The key is dairy that is low lactose. I have been eating cheese and plain yogurt again this week and it's sitting fine in my stomach. The fast tract book points out that a huge percentage of the world's population is lactose intolerant...in some Asian countries the rate is almost 100% while among white North Americans it's around 5%. Very interesting.

Vrushali Khot
Yes I've heard the same.

Vrushali Khot
She's actually gone as far as telling me she thinks I have SIBO which is driving the gas upwards and caused the issues with the sphincter.

Abby Obenchain
THat's exactly what the fast tract guy says!

Jane Calendrillo
Can you please provide the link for the Fast Track diet? Also, can you check out my first original post from early today and see if you think it could help me? TIA.

Bill Hofeldt
I am reading that book now, always abused my body with eating all types of carbs for years as I like to run long distance, also have high blood sugar so now is the time to cut back on carbs, hopefully this will help with my belching which as lasted a month long, medicine does not seem to be working.

Tommy A. Scott
I too am an advocate of both the Fast Tract diet and the low FODMAP diet which both work on the same principles and can say they have helped immensely with coming off PPIs.

Suzy Silver Nastaskin
How did u wean off ppis? Rebound? We're u on them for long?

Tommy A. Scott
On them 5 years and weaned off slowly using ppis and Zantac. Still take one occasionally (after alcohol usually)

Abby Obenchain
I cut out sugar two weeks ago and my IBS is gone and I have minimal gas and bloating. Tried to cut out carbs but I can't do it. The strict fast tract approach is too high fat for me...I have to have some gluten free bread and cereal or I will go crazy.

Vrushali Khot
This is what I found with general paleo or keto approaches to reflux. The high level of fat. I still think once everything settles down, it should be tolerated. But I am not game at this point either. So I'm including some gluten free grains like quinoa and millets.

Jane Calendrillo
Guys, I got the book today and so excited to try it, but I'm super turned off by his recommendations of using Splenda as sweetener in his recipes. It may be good for GERD, but it has carcinogenic agents. I just don't know if I could get past the fact that someone who is supposed to be an expert in human digestion is recommending an artificial sweetener! I guess I will still try it, at this point I am opened to try anything but will stick to Stevia or honey.

Jane Calendrillo
I'm still going to give it a chance. Perhaps he addresses it earlier in the book.

Abby Obenchain
I think dextrose (glucose) is a better option for sweetener.


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